37. Emergency Care
- John T. Queenan MD3,
- Catherine Y. Spong MD4,
- Charles J. Lockwood MD5
Published Online: 4 JAN 2012
DOI: 10.1002/9781119963783.ch37
Copyright © 2012 John Wiley and Sons, Ltd
Book Title
Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition
Additional Information
How to Cite
Lam, G. K. and Foley, M. R. (2012) Emergency Care, in Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Sixth Edition (eds J. T. Queenan, C. Y. Spong and C. J. Lockwood), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781119963783.ch37
Editor Information
- 3
Department of Obstetrics and Gynecology, Georgetown University School of Medicine, Washington, DC, USA
- 4
Bethesda, MD, USA
- 5
Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, CT, USA
Publication History
- Published Online: 4 JAN 2012
- Published Print: 24 FEB 2012
ISBN Information
Print ISBN: 9780470655764
Online ISBN: 9781119963783
- Summary
- Chapter
- References
Keywords:
- emergency care;
- incidents of emergency care of gravid patients, difficult;
- multiple causes for maternal collapse;
- AFE, DIC, blood product replacement;
- AFE, catastrophic causes of maternal collapse;
- DIC, coagulopathic state, consumption of clotting factors;
- DIC treatment, and blood product replacement;
- plasma product use, germane to treatment of AFE;
- obstetric collapse, timing of delivery to salvage fetus;
- emergency care in pregnancy, myriad causes
Summary
Incidents requiring emergency care of the gravid patient represent some of the most difficult clinical scenarios faced by the practicing clinician. There are multiple causes for maternal collapse, and commonly the clinical situation is so dire that there is no time for a detailed diagnostic work-up. Attempts to resuscitate the mother are the starting point for intervention; however, as the resuscitation progresses, consideration of fetal well-being must be addressed. It is not the intention of the authors to cover all causes of obstetric emergencies in a single chapter. Instead, we focus on amniotic fluid embolism and the management of its sequelae: disseminated intravascular coagulopathy, blood product replacement, and perimortem cesarean delivery as prototypical examples of obstetric emergency care as their attendant management principles and guidelines are applicable to most obstetric emergencies.